Abstract:
PURPOSE:To examine the validity of the observations made by specialist corneal surgeons that there seems to be an absence or loss of older patients with keratoconus (KC). METHODS:Using a PubMed search and key words such as KC, epidemiology, mortality, mitral valve prolapse, atopy, and asthma, the literature related to this topic was reviewed. Specialist contact lens fitting practitioners were asked to supply age-related details of KC and nonkeratoconus patients within their practices. RESULTS:Results suggested a marked absence or loss of older KC patients as has been observed by specialist corneal surgeons. Several possible explanations are described including increased mortality associated with mitral valve prolapse, asthma, obesity, and/or obstructive sleep apnea, for example. In addition, gender bias, the influence of progression to keratoplasty or age-related diseases, as well as difficulty in traveling to specialist practices and the need for and dependence on specialist contact lens fitting skills of KC patients were considered. The possibility that KC corneas could improve with age-related increased natural crosslinking and stiffening is discussed. CONCLUSIONS:An absence or loss of older KC patients has been found in some specialist contact lens fitting practices. Notwithstanding the possible influence of numerous other issues, the absence or loss of KC patients may be because of reduced life expectancy, a topic that seems to warrant further examination. There may be implications for improving the understanding of the pathogenesis of KC if reduced life expectancy can be confirmed and the associated reasons elucidated.
journal_name
Corneajournal_title
Corneaauthors
McMonnies CWdoi
10.1097/ICO.0b013e31825aba0esubject
Has Abstractpub_date
2013-04-01 00:00:00pages
496-502issue
4eissn
0277-3740issn
1536-4798journal_volume
32pub_type
杂志文章,评审相关文献
CORNEA文献大全abstract:PURPOSE:To review the development of artificial corneas (prostheses and tissue equivalents) for transplantation, and to provide recent updates on our tissue-engineered replacement corneas. METHODS:Modified natural polymers and synthetic polymers were screened for their potential to replace damaged portions of the huma...
journal_title:Cornea
pub_type: 杂志文章,评审
doi:10.1097/01.ico.0000263120.68768.f8
更新日期:2002-10-01 00:00:00
abstract:PURPOSE:The objective of this study was to produce a porcine corneal acellular matrix (ACM) and assess its possibility for biomedical applications. METHODS:Porcine corneas were treated with various concentrations of sodium dodecylsulfate for different lengths of time. Optimal conditions for processing the ACM were not...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3181dc8184
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:To assess the long-term clinical course of dry eye in patients with chronic graft-versus-host disease (cGVHD). METHODS:A prospective case series of 49 patients with cGVHD was conducted. Complete history and ophthalmic examination were performed at baseline and at 36 months (range, 26-53). All patients received...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3181e9b3bf
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:To retrospectively evaluate the coexistence of congenital glaucoma with congenital hereditary endothelial dystrophy. METHODS:Ten infants presented to our hospital with diffuse corneal edema and bilaterally elevated intraocular pressure (IOP). These patients were diagnosed with congenital glaucoma. All patients...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31804e4579
更新日期:2007-07-01 00:00:00
abstract:PURPOSE:To describe a patient whose Descemet membrane detachment following deep lamellar keratoplasty failed to respond to 2 attempts at gas tamponade but later resolved spontaneously. METHODS:A 77-year-old woman with bilateral anterior corneal stromal scarring underwent a right deep lamellar keratoplasty with the Mel...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/01.ico.0000167882.86137.fb
更新日期:2006-01-01 00:00:00
abstract:PURPOSE:To examine the immediate effect of ocular rubbing on corneal topography. METHODS:Corneal topography and analysis were performed before, immediately after, and 5 minutes after eyelid rubbing in 29 volunteers without ocular disease. RESULTS:The surface regularity index increased from a baseline of 0.24 to 0.91 ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-200211000-00004
更新日期:2002-11-01 00:00:00
abstract:PURPOSE:To investigate the severity of keratoconus in terms of corneal elevation differences with 2 different reference surfaces using topographic analysis. METHODS:Eighty-six eyes of 50 patients with keratoconus of various clinical stages (61 male and 25 female eyes) with mean age of 37.3 ± 11.6 years were evaluated....
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0B013E31823D1EE0
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:To assess the morphologic differences of three types of lattice corneal dystrophies (LCDs) from histologic, immunohistochemical, and ultrastructural studies. METHODS:Corneas from three patients, one LCD1, one His626Arg-LCD, and one LCD3A were processed for Congo red, betaig-h3(541-564) antibodies immunostainin...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-200207000-00006
更新日期:2002-07-01 00:00:00
abstract::Although corneal epithelial stem cells (SCs) are located at the limbus between the cornea and the conjunctiva, not all limbal basal epithelial cells are SCs. Using 2 dispase digestions to remove different amounts of limbal basal epithelial cells for cross-sections, flat mounts, and cytospin preparations, double immuno...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3181ea4b13
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:To evaluate the association between keratoconus (KC) and immune disorders (IDs). METHODS:A retrospective observational case-control study of all the members in the Central District of Clalit Health Services in Israel who were diagnosed to have KC (years 2000-2007; n = 426) and 1704 age- and gender-matched cont...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e3181cb410b
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:To compare the visual results, higher-order aberrations, and corneal biomechanical properties of femtosecond small incision lenticule extraction (SMILE) at depths of 100 and 160 μm. METHODS:A prospective comparative interventional clinical trial of a series of patients who underwent SMILE. In the right eye, a ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000571
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:To develop a rat model of chronic Acanthamoeba polyphaga keratitis suitable for pharmacologic assessment of therapeutic agents. METHODS:An A. polyphaga isolate (ATCC #50495) was grown in peptone-yeast extract-glucose medium. Five-weeks-old, Sprague-Dawley male rats were injected with 10(3) or 10(4) trophozoite...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/01.ico.0000214213.37447.11
更新日期:2006-06-01 00:00:00
abstract:PURPOSE:Clinical research addressing the issue of donor globe decontamination is yet to establish convincing data for the optimal choice of an antimicrobial agent. METHODS:In a donor-globe decontamination study, the antimicrobial effectiveness of a fluoroquinolone antibiotic (ciprofloxacin, 0.3%) was evaluated for the...
journal_title:Cornea
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00003226-199801000-00008
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:To determine the factors associated with clinically significant dry eye after keratorefractive surgery. METHODS:This is a large database retrospective study that included consecutive cases of myopic laser in situ keratomileusis (LASIK) or photorefractive keratectomy performed between 2008 and 2016 at Care-Visi...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000002152
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:The 27-kDa heat shock protein (HSP27) has been implicated in wound healing in multiple tissues. We investigated the expression and localization of phosphorylated HSP27 during epithelial wound healing in the murine cornea. METHODS:Corneas of 8- to 10-week-old C57BL6 mice were wounded by epithelial debridement (...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31823f7685
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:To evaluate changes in the donor corneal endothelium in the intact globe and in the in vivo rabbit cornea to characterize more fully the formation of "dark events" without relief images in the endothelial mosaic. METHODS:Six ex vivo human donor corneas in the intact globe and an in vivo rabbit model were used ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-199809000-00013
更新日期:1998-09-01 00:00:00
abstract::To determine the diagnostic usefulness of routine staining of corneal buttons with alcian blue, we evaluated 150 consecutive corneal specimens with hematoxylin and eosin and alcian blue stains. Overall, 67% of specimens demonstrated deposition of acid mucopolysaccharide. More specifically, positive alcian blue stainin...
journal_title:Cornea
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract:PURPOSE:To report intraocular lens (IOL) power calculation in 2 eyes that were highly undercorrected by previous myopic automated lamellar keratoplasty (ALK). METHODS:A 35-year-old man underwent bilateral myopic ALK, which caused high residual myopia (-9.0 -4.0 x 171 and -9.5 -4.5 x 74). The patient then underwent cat...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31817c41fc
更新日期:2008-10-01 00:00:00
abstract:PURPOSE:Peters anomaly is the most common cause of congenital corneal opacities. Although conservative management is often ineffective except in mild cases, surgical intervention in the form of penetrating keratoplasty is fraught with unpredictability and often has unacceptable postoperative outcomes. As such, there is...
journal_title:Cornea
pub_type: 杂志文章,评审
doi:10.1097/ICO.0000000000001472
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:To describe cataract extraction and intraocular lens placement in a patient with an existing Type I Boston keratoprosthesis. METHODS:Case report to describe the surgical technique used to remove a cataract that developed after Boston keratoprosthesis placement. RESULTS:Extracapsular cataract extraction by usi...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e31815b7d69
更新日期:2008-02-01 00:00:00
abstract:PURPOSE:The efficacy of gene therapy using nonviral vector based on polyplex micelle has been studied against corneal neovascularization in mice. METHODS:A block copolymer, poly(ethylene glycol) (PEG)-block-polycation carrying ethylenediamine units in the side chain (PEG-b-P[Asp(DET)]), was prepared. PEG-b-P[Asp(DET)]...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e318206c893
更新日期:2011-12-01 00:00:00
abstract::An 81-year-old man with metastatic prostate carcinoma underwent a penetrating keratoplasty for phlyctenular keratitis. Two years later he developed a fleshy, vascular mass in the superotemporal corneal graft wound, at the site of prior graft sutures. An excisional biopsy of the mass was performed to rule out metastati...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/00003226-199211000-00019
更新日期:1992-11-01 00:00:00
abstract:PURPOSE:To evaluate visual, refractive, and corneal topography outcomes in eyes with keratoconus that have undergone exchange/adjustment surgery with a new intrastromal corneal ring segment (ICRS) combination after unsuccessful visual and/or refractive outcomes after primary ICRS surgery. METHODS:A retrospective nonra...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000001449
更新日期:2018-02-01 00:00:00
abstract:PURPOSE:Patients undergoing primary pterygium excision with autologous conjunctival autograft and human tissue adhesive in New Zealand, currently receive subconjunctival anesthesia with oral postoperative analgesia for pain. Our aim was to investigate the potential added benefit of intraoperative subtenon bupivacaine t...
journal_title:Cornea
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/ICO.0000000000001973
更新日期:2019-08-01 00:00:00
abstract::Phacoemulsification has become the most commonly used procedure in cataract surgery owing to the development of new devices and surgical techniques; however, corneal endothelial damage still represents a serious complication. Although several factors are known to cause corneal endothelial damage, effects of irrigating...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000990
更新日期:2016-11-01 00:00:00
abstract:PURPOSE:This study was designed to report a case of acanthamoeba keratitis in a 5-year-old child without a history of trauma or contact lens usage. METHODS:The history, clinical presentation, diagnostic, and therapeutic approaches were reviewed. RESULTS:A 5-year-old child without any history of trauma or contact lens...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/01.ico.0000178723.26940.74
更新日期:2006-04-01 00:00:00
abstract:PURPOSE:To report a case of successful medical treatment with oral posaconazole in refractory fungal keratitis caused by Paecilomyces lilacinus. METHODS:Case report. RESULTS:A 57-year-old male, soft contact lens wearer presented with irritation, pain, photophobia, and reduced vision. Slit-lamp examination showed a la...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000143
更新日期:2014-07-01 00:00:00
abstract:PURPOSE:To report intraoperative and 1-year postoperative results of the pachy-bubble technique for deep anterior lamellar keratoplasty (DALK). METHODS:This prospective interventional case series included 110 eyes of 107 patients with anterior corneal pathology who underwent DALK, including 78 with keratoconus. Outcom...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0000000000000413
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:To describe a case of transient band-like keratopathy after ocular exposure to fluocinonide cream and ketoconazole shampoo. DESIGN:Observational case report. RESULTS:A 40-year-old patient presented with acute pain, photophobia, lacrimation, and redness in 1 eye. The symptoms began while using fluocinonide cre...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/01.ico.0000138854.33956.3d
更新日期:2005-04-01 00:00:00
abstract::We report the case of a 34-year-old man who had uncomplicated cataract surgery in his left eye. Medical history was significant for atopic dermatitis, requiring oral immunosuppressive medications. Two days after the surgery, the patient presented with pain, photophobia, decreased vision, and a small corneal abrasion. ...
journal_title:Cornea
pub_type: 杂志文章
doi:10.1097/ICO.0b013e318182262c
更新日期:2009-01-01 00:00:00